EMERGE RECOVERY TX LLC NPI 1477220085

NPI Information

NPI: 1477220085
Provider Name: EMERGE RECOVERY TX, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 45D2264052

Address:
7756 NORTHCROSS DR STE 203
AUSTIN, TX
ZIP 78757
Phone: (737) 237-9663
Get Directions

EMERGE RECOVERY TX, LLC is a mental health (including community mental health center) clinic center in Austin, TX. EMERGE RECOVERY TX, LLC NPI is 1477220085. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7756 NORTHCROSS DR STE 203
AUSTIN, TX
ZIP 78757-725
Phone: (737) 237-9663
Fax: (833) 318-0324

The provider's authorized official is Laurel Katherine Tracy .
The authorized official title is Director Of Operations and has the following contact phone number (832) 477-4325.

The CLIA number assigned to this NPI record is 45D2264052 - other - outpatient sub abuse faci with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2021 and was last updated on 8/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TP2701X	Psychologist	Group Psychotherapy			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NA	OTHER	TEXAS	N/A

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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